Gait

Question 1

What is an antalgic gait pattern

Answer 1

Decreased WB on sore side - normal ipsilat step length, short contralateral step length

Question 2

Ataxic gait

Answer 2

Staggering with wide BOS, difficult foot placement

Question 3

Equinus gait

Answer 3

Toe walking, club foot. Spastic or short triceps surae

Question 4

Glut max gait

Answer 4

Backward lurch at initial contact - shift COG posteriorly

Question 5

Hemiplegic gait

Answer 5

Circumducted, possible spastic PF, DF weakness

Question 6

Parkinsonian Gait

Answer 6

Festinating, short rapid steps, difficulty initiating movement

Question 7

Weak quad gait

Answer 7

Forward lurch during IC - ext/hyperextend knee, shift COG ant

Question 8

Scissor gait

Answer 8

Spastic adductors, CP

Question 9

Steppage gait

Answer 9

Increased knee and hip flexion - limited time on stance phase

Question 10

Lateral Trunk Bend - lean toward orthotic during stance caused by

Answer 10

KAFO medial upright too high
insufficient shoe lift
hip pain
Short leg
poor balance

Question 11

Circumduction caused by

Answer 11

Locked knee, excessive PF, weak flexors or DF

Question 12

Vaulting is

Answer 12

Swing leg compensated with elevation of the pelvis and PF of stance leg to clear the floor

Question 13

Anterior trunk bend during stance is caused by

Answer 13

Inadequate knee lock, weak quads, hip or knee flexion contracture

Question 14

Post trunk bend during stance

Answer 14

Inadequate hip lock, weak glutes, knee ankylosis

Question 15

Hyperextended knee during stance

Answer 15

Inadequate knee lock, poor fit of calf band, loose knee lig or extensor spasticity, pes equinus

Question 16

Knee instability - excessive knee flex uring stance is caused by:

Answer 16

Inadequate DF stops, inadequate knee lock, knee and or hip flexion contracture

Question 17

Foot slap caused by

Answer 17

inadequate DF assist, inadequate PF stops, weak DF

Question 18

Toes first caused by

Answer 18

Inadequate DF assist, inadequate PF stops, inadequate heel lift, pes equinus

Question 19

Flat foot

Answer 19

Inadequate longitudinal arch support, pes planus

Question 20

Pronation - excessive medial foot contact during stance

Answer 20

Transverse plane mal-alignmnet, weak invertors, pes valgus, spasticity, genu valgum

Question 21

Supination - excessive lateral foot contact during stance

Answer 21

Transverse plane mal-alignment, weak evertors, pes varus, genu varum

Question 22

Excessive stance width

Answer 22

KAFO height of medial upright too high, HKAFO hip joint in excessive abduction, knee is locked, abduction contracture, poor balance, sound limb too short.

Question 23

Prosthetic deviations: Lat trunk bend towards prosthetic

Answer 23

Short prosthesis, low lateral wall, high medial wall, weak abd, abd contracutr, hip pain

Question 24

Prosthetic deviations: forward flexion

Answer 24

Hip flexion contracture, unstable knee, short gait aid

Question 25

Prosthetic deviation: lumbar lordosis

Answer 25

Insufficient support from ant or post walls
painful ischial WB
Hip F contracture
Weak hip ext or abdominals

Question 26

Prosthetic deviation: Circumduction

Answer 26

long prosthesis, locked knee, small or loose socket, inadquate suspension, foot PF, abd contracture, poor knee control

Question 27

Prosthetic deviation: Abducted gait

Answer 27

Long prosthesis, crotch or medial wall discomfort, low lateral wall, tight hip abd

Question 28

Prosthetic deviation: Vaulting - rises on sound limb to swing through

Answer 28

Long prosthesis, inadequat suspension, socket too small, foot in too much PF, too little knee flexion available.

Question 29

Prosthetic deviation: High heel rise during early swing

Answer 29

Inadequat knee friction, too little tension in the extension aid

Question 30

Prosthetic deviation: Foot rotation

Answer 30

stiff heel cushion, PF bumper

Question 31

Prosthetic deviation: Foot slap

Answer 31

heel cushion too soft. PF bumper too soft.

Question 32

Excessively firm heel of prosthetic may cause

Answer 32

excessive knee flexion in foot flat or foot rotation